Abstract
Introduction
Osseodensification is a newly discovered procedure that uses specially engineered DENSAH burs to form an autograft layer of condensed bone at the periphery of the implant bed. The aim of this research is to evaluate the primary stability of dental implants placed in narrow ridges utilizing the osseodensification drilling technique.
Methods
This prospective, double-blind, randomized controlled clinical trial was carried out in ten patients with twenty implant sites. Prior to implant implantation, an orthopantomogram and cone beam computed tomography were performed to examine bone width and height. In each patient, one implant has been placed using conventional drilling technique, and another one has been placed using osseodensification drilling technique randomly. OSTELL's resonance frequency analyzer was used to evaluate primary stability.
Results
The results show that the conventional group had a mean of 64.9 ± 6.95, the osseodensification group had a mean of 68.6 ± 2.3, and the mean difference between the groups was 3.7. The P value was 0.0432 (P < 0.05), indicating that it was statistically significant.
Conclusion
This study indicates that osseodensification drilling increases primary stability as compared to conventional drilling.
Similar content being viewed by others
References
Barberá-Millán J, Larrazábal-Morón C, Enciso-Ripoll JJ et al (2021) Evaluation of the primary stability in dental implants placed in low density bone with a new drilling technique, Osseodensification: an in vitro study. Med Oral Patol Oral Cir Bucal 26(3):e361–e367. https://doi.org/10.4317/medoral.24231.PMID:33037795;PMCID:PMC8141313
Elsayyad AA, Osman RB (2019) Osseodensification in implant dentistry: a critical review of the literature. Implant Dent 28(3):306–312. https://doi.org/10.1097/ID.0000000000000884. (PMID: 31124828)
Jaffin RA, Berman CL (1991) The excessive loss of branemark fixtures in type IV bone: a 5-year analysis. J Periodontol 62(1):2–4. https://doi.org/10.1902/jop.1991.62.1.2. (PMID: 2002427)
Delgado-Ruiz R, Gold J, Somohano Marquez T et al (2020) Under-drilling versus hybrid osseodensification technique: differences in implant primary stability and bone density of the implant bed walls. Materials (Basel) 13(2):390. https://doi.org/10.3390/ma13020390.PMID:31952138;PMCID:PMC7013970
Huwais S, Meyer EG (2017) A Novel osseous densification approach in implant osteotomy preparation to increase biomechanical primary stability, bone mineral density, and bone-to-implant contact. Int J Oral Maxillofac Implant 32(1):27–36. https://doi.org/10.11607/jomi.4817
Cáceres F, Troncoso C, Silva R et al (2020) Effects of osseodensification protocol on insertion, removal torques, and resonance frequency analysis of BioHorizons® conical implants An ex vivo study. J Oral Biol Craniofac Res 10(4):625–628. https://doi.org/10.1016/j.jobcr.2020.08.019
Padhye NM, Padhye AM, Bhatavadekar NB (2020) Osseodensification-a systematic review and qualitative analysis of published literature. J Oral Biol Craniofac Res 10(1):375–380. https://doi.org/10.1016/j.jobcr.2019.10.002
Koutouzis T, Huwais S, Hasan F et al (2019) Alveolar ridge expansion by osseodensification-mediated plastic deformation and compaction autografting: a multicenter retrospective study. Implant Dent 28(4):349–355. https://doi.org/10.1097/ID.0000000000000898. (PMID: 31274667)
Almutairi AS, Walid MA, Alkhodary MA (2018) The effect of osseodensification and different thread designs on the dental implant primary stability. 1000Res 7:1898. https://doi.org/10.12688/f1000research.17292.1
Pikos MA, Miron RJ (2019) To drill or to densify? Clinical indications for the use of osseodensification. Compend Contin Educ Dent 40(5):276–281
Podaropoulos L (2017) Increasing the stability of dental implants: the concept of osseodensification. Balkan J Dent Med 21:133–140
Witek L, Alifarag AM, Tovar N et al (2019) Osteogenic parameters surrounding trabecular tantalum metal implants in osteotomies prepared via osseodensification drilling. Med Oral Patol Oral Cir Bucal 24(6):e764–e769. https://doi.org/10.4317/medoral.23108.PMID:31655837;PMCID:PMC6901143
Witek L, Neiva R, Alifarag A et al (2019) Absence of healing impairment in osteotomies prepared via osseodensification drilling. Int J Periodontics Restor Dent 39(1):65–71. https://doi.org/10.11607/prd.3504
Kim A, Abdelhay N, Levin L et al (2020) Antibiotic prophylaxis for implant placement: a systematic review of effects on reduction of implant failure. Br Dent J 228:943–951. https://doi.org/10.1038/s41415-020-1649-9
Pikos MA, Miron RJ (2019) Osseodensification: an overview of scientific rationale and biological background. Compend Contin Educ Dent 40(4):217–222
Sennerby L, Meredith N (2008) Implant stability measurements using resonance frequency analysis: biological and biomechanical aspects and clinical implications. Periodontol 2000(47):51–66. https://doi.org/10.1111/j.1600-0757.2008.00267.x
Pai UY, Rodrigues SJ, Talreja KS et al (2018) Osseodensification -A novel approach in implant dentistry. J Indian Prosthodont Soc 18(3):196–200. https://doi.org/10.4103/jips.jips_292_17
Bergamo ETP, Zahoui A, Barrera RB et al (2021) Osseodensification effect on implants primary and secondary stability: multicenter controlled clinical trial. Clin Implant Dent Relat Res 23(3):317–328. https://doi.org/10.1111/cid.13007
Balshi SF, Wolfinger GJ, Balshi TJ (2007) An examination of immediately loaded dental implant stability in the diabetic patient using resonance frequency analysis (RFA). Quintessence Int 38(4):271–279 (PMID: 17432781)
Hindi AR, Bede SY (2020) The effect of osseodensification on implant stability and bone density: a prospective observational study. J Clin Exp Dent 12(5):e474–e478. https://doi.org/10.4317/jced.56727.PMID:32509230;PMCID:PMC7263779
Lahens B, Neiva R, Tovar N et al (2016) Biomechanical and histologic basis of osseodensification drilling for endosteal implant placement in low density bone. An experimental study in sheep. J Mech Behav Biomed Mater 63:56–65. https://doi.org/10.1016/j.jmbbm.2016.06.007
Tanello B, Huwais S, Tawil I et al (2019) Osseodensification protocols for enhancement of primary and secondary implant stability–a retrospective 5-year follow-up multi-center study. Clin Oral Implant Res 30:414–414. https://doi.org/10.1111/clr.370_13509
Slete FB, Olin P, Prasad H (2018) Histomorphometric comparison of 3 osteotomy techniques. Implant Dent 27(4):424–428. https://doi.org/10.1097/ID.0000000000000767. (PMID: 29762184)
Boustany CM, Reed H, Cunningham G et al (2015) Effect of a modified stepped osteotomy on the primary stability of dental implants in low-density bone: a cadaver study. Int J Oral Maxillofac Implants 30(1):48–55. https://doi.org/10.11607/jomi.3720
Da Rosa JCM, de Oliveira P, Rosa AC, Huwais S (2019) Use of the immediate dentoalveolar restoration technique combined with osseodensification in periodontally compromised extraction sites. Int J Periodontics Restor Dent 39(4):527–534. https://doi.org/10.11607/prd.3883
El-Kholey KE, Elkomy A (2019) Does the drilling technique for implant site preparation enhance implant success in low-density bone? A Syst Rev Implant Dent 28(5):500–509. https://doi.org/10.1097/ID.0000000000000917. (PMID: 31205268)
Deliverska E, Yordanov B (2019) Osseodensification as an alternative approach in dental implantology for implant sites with insufficient available bone. J of IMAB 25(3):2606–2610. https://doi.org/10.5272/jimab.2019253.2606
Sultana A, Makkar S, Saxena D et al (2020) To compare the stability and crestal bone loss of implants placed using osseodensification and traditional drilling protocol: a clinicoradiographical study. J Indian Prosthodont Soc 20(1):45–51. https://doi.org/10.4103/jips.jips_133_19
Tian JH, Neiva R, Coelho PG et al (2019) Alveolar ridge expansion: comparison of osseodensification and conventional osteotome techniques. J Craniofac Surg 30(2):607–610. https://doi.org/10.1097/SCS.0000000000004956
Trisi P, Berardini M, Falco A et al (2016) New osseodensification implant site preparation method to increase bone density in low-density bone in vivo evaluation in sheep. Implant Dent 25(1):24–31. https://doi.org/10.1097/ID.0000000000000358
Acknowledgements
None
Funding
This study did not receive any grant from funding agencies in the public, commercial, or non-profit sectors.
Author information
Authors and Affiliations
Contributions
All authors contributed to the study conception and design. Material preparation, data collection and analysis were performed by Pedamally Manodh, P. Madhav, Megarasu Deepanjali, and Ramanathan Manikandhan. The first draft of the manuscript was written by Megarasu Deepanjali and all authors commented on previous versions of the manuscript. All authors read and approved the final manuscript.
Corresponding author
Ethics declarations
Conflicts of interest
The authors declare that they have no conflict of interest.
Ethical Approval
This study does not include any animal studies. All procedures performed on human participants were in accordance with the ethical standards of the Institutional Ethical Committee and Review Board (MADC/IRB-XXVIII/2019/442).
Informed Consent
Written informed consent was obtained from all participants.
Consent to Publish
No individual person’s data were included in this manuscript.
Additional information
Publisher's Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.
About this article
Cite this article
Manodh, P., Madhav, P., Deepanjali, M. et al. Assessment of Primary Stability of Dental Implants Placed in Narrow Ridges Using Osseodensification Drilling Technique. J. Maxillofac. Oral Surg. (2024). https://doi.org/10.1007/s12663-024-02196-3
Received:
Accepted:
Published:
DOI: https://doi.org/10.1007/s12663-024-02196-3